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General NPI Number Information
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NPI Number | 1386212553
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Entity Type | Organization
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Legal Business Name | KELCYS LOVING ARMS INC
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 4 CHELSEA BLVD APT 1418
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City | HOUSTON
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State | TX
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Zip | 77006-6269
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Country | US
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Telephone | 832-620-8390
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Fax | 713-440-7677
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Provider Business Mailing Address
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Address Line | 4 CHELSEA BLVD APT 1418
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City | HOUSTON
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State | TX
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Zip | 77006-6269
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Country | US
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Telephone | 832-620-8390
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Fax | 713-440-7677
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Authorized Official
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Title or Position | CEO
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Name | MELBRA GARVEY SHELTON
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Credential |
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Telephone | 713-520-0165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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